Diana Weatherall in Greendale - Addiction (substance Use Disorder)

Diana Weatherall - NPI 1366531840

Diana Weatherall is a Addiction (substance Use Disorder) in Greendale, Wisconsin. Diana Weatherall practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Diana Weatherall is 1366531840. The last update date is 2007-07-08.

Diana Weatherall's current location address is 6400 Industrial Loop, Greendale, Wisconsin. You can contact this provider via phone number 4144234100 and fax number 4144234134. The mailing address for Diana Weatherall is 6400 Industrial Loop, Greendale, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Diana Weatherall
Address 6400 Industrial Loop, Greendale, Wisconsin
Phone Number 4144234100
Fax Number 4144234134
Sole Proprietor N
Credentials CADC III

NPI Number Detail

NPI Number 1366531840
Provider Enumeration Date 2006-10-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6400 Industrial Loop
City Greendale
State Wisconsin (WI)
Post Code 531292452
Phone Number 4144234100
Fax Number 4144234134

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 11393
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
39388500 WI --

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FAQs about Diana Weatherall

What is the unique identifier code issued to Diana Weatherall by the Centers for Medicare & Medicaid Services?

The Diana Weatherall has been assigned the NPI (National Provider Identifier) 1366531840. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Diana Weatherall?

The Diana Weatherall is physically situated at 6400 Industrial Loop, in the city of Greendale, state of WI, with the postal code 531292452.

What is the area of specialization for Diana Weatherall, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Diana Weatherall is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this area of expertise is 101Ya0400X.

When did Diana Weatherall receive its 1366531840 assignment?

The Diana Weatherall was assigned its 1366531840 on 2006-10-12, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Diana Weatherall most recently updated or revised?

The information pertaining to Diana Weatherall, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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